# DREW DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376252916
- **Authorized official:** SHANE PATRICK DREW DDS (OWNER)
- **Authorized official phone:** (360) 271-4815

## Contact information

- **Practice address:** 9125 BRIDGEPORT WAY SW STE 101, LAKEWOOD, WA 98499-2448
- **Practice address phone:** (253) 581-6140
- **Practice address fax:** (253) 294-9990
- **Mailing address:** 9125 BRIDGEPORT WAY SW STE 101, LAKEWOOD, WA 98499-2448
- **Mailing address phone:** (253) 581-6140
- **Mailing address fax:** (253) 294-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 11/22/2022